Individual provider Active NPI

Geethan Sivananthan

  • Gastroenterology Physician
  • Union, NJ
National Provider Identifier
1598907990
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA09696600 Issued in NJ
Practice address
695 Chestnut St
Union, NJ 07083-7200
Phone
(908) 688-6565
NPI assigned
Mar 31, 2009
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA09696600 NJ Primary

Addresses

Primary practice location

695 Chestnut St
Union, NJ 07083-7200

Mailing address

49 Hastings Rd
Kendall Park, NJ 08824-1045

Other identifiers 1

IdentifierTypeStateIssuer
04670781MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728003953 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3971817552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Digestive Diseases PAGroup PAC ID 2961305875, 3 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

695 Chestnut St
Union, NJ 07083-7200
Phone (908) 688-6565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09696600NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Diseases, P.a. Gastroenterology CurrentSince Jul 1, 2017 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Apr 19, 2025 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

98 James St
Ste 200
Edison, NJ 08820
Phone (732) 230-2828

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: geethan.sivananthan.1@24721.direct.athenahealth.com
  • Direct secure messaging: geethan.sivananthan@cdd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFBHAA/Endpoint/DFBHAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1598907990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HASTINGS RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837200",
            "telephone_number": "908-688-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVANANTHAN",
        "first_name": "GEETHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA09696600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04670781",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.